Ribas Jonas, Cunha Maria da Graça Souza, Schettini Antônio Pedro Mendes, Ribas Carla Barros da Rocha
Serviço de Dermatologia, Universidade Federal do Amazonas, Manaus, AM, Brasil.
An Bras Dermatol. 2010 Jul-Aug;85(4):441-7. doi: 10.1590/s0365-05962010000400004.
Teledermatology is seldom used in Brazil, although some incipient initiatives have been implemented in the state of Amazonas. Further studies are still required to confirm the feasibility and efficacy of this diagnostic tool.
To evaluate the efficacy of an asynchronous method of teledermatology using simple, inexpensive technological resources.
One hundred and seventy-four patients were examined by four dermatologists, two clinic-based dermatologists, who diagnosed the patients following live examination (A1 and A2), and two consultant specialists in image dermatology, who reached diagnoses by examining images of the lesions and the patients' clinical histories (B1 and B2). The agreement between live examination and examination of images was evaluated.
Agreement between the two live examiners (A1 and A2) with respect to the principal diagnosis was 83.3% compared to 81.0% between the physicians who diagnosed by examining images (B1 and B2). Agreement between the principal diagnosis established by live examination and that obtained from examining images ranged from 78.2% to 83.9%,
Agreement between diagnoses of dermatological diseases reached following examination of digital images and those reached following live examination of the patient was excellent.
远程皮肤病学在巴西很少使用，尽管在亚马孙州已经实施了一些初步举措。仍需要进一步研究来证实这种诊断工具的可行性和有效性。
使用简单、廉价的技术资源评估异步远程皮肤病学方法的有效性。
174名患者由4名皮肤科医生进行检查，其中2名是临床皮肤科医生，他们通过现场检查对患者进行诊断（A1和A2），另外2名是皮肤影像咨询专家，他们通过检查病变图像和患者临床病史进行诊断（B1和B2）。评估现场检查与图像检查之间的一致性。
两位现场检查医生（A1和A2）在主要诊断方面的一致性为83.3%，而通过检查图像进行诊断的医生（B1和B2）之间的一致性为81.0%。现场检查确定的主要诊断与通过检查图像获得的主要诊断之间的一致性在78.2%至83.9%之间。
对患者进行数字图像检查后得出的皮肤病诊断与现场检查后得出的诊断之间的一致性非常好。
